CHRISTUS Trinity Mother Frances Hospital - Jacksonville
2026 S Jackson St, Jacksonville, TX · Christushealth · · NPI 1952306672
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $110.40 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.26 – $0.67 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.34 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $28.13 | 2 |
| Galactokinase - sendout CPT 82759 | not published | not published | $12.89 – $66.16 | 7 |
| Galactose transferase test CPT 82776 | not published | not published | $7.04 – $36.16 | 7 |
| Galectin-3 CPT 82777 | not published | not published | $26.55 – $136.29 | 3 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $14.77 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $110.40 – $372.17 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $110.40 – $534.91 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,031.00 – $1,143.55 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $871.26 – $1,362.53 | 2 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.29 – $3.40 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $484.88 – $636.60 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $488.85 – $508.43 | 2 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.89 – $50.84 | 2 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.60 – $13.25 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $57.48 – $109.03 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.35 – $77.55 | 2 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.09 – $70.91 | 2 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $4,104.77 – $27,250.56 | 2 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $21.05 – $108.08 | 7 |
| Gardner vag dna quant CPT 87512 | not published | not published | $25.06 – $128.62 | 7 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $4.03 – $20.67 | 7 |
| Gastric emptying imag study CPT 78265 | not published | not published | $397.00 – $1,059.47 | 7 |
| Gastric emptying imag study CPT 78266 | not published | not published | $397.00 – $1,375.37 | 7 |
| Gastric motility studies CPT 91020 | not published | not published | $562.78 – $562.78 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $397.00 – $1,059.47 | 7 |
| Gastrin test CPT 82938 | not published | not published | $10.61 – $54.49 | 7 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,356.68 – $1,356.68 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $397.00 – $1,059.47 | 7 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $454.37 – $454.37 | 1 |
| Gastrointestinal repair CPT 43360 | not published | not published | $3,009.06 – $3,009.06 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $3,613.36 – $3,613.36 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,797.68 – $1,797.68 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,747.40 – $1,747.40 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,606.35 – $2,606.35 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,005.98 – $1,005.98 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $397.00 – $1,059.47 | 7 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.43 – $2.43 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.59 – $2.59 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.13 – $2.13 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.95 – $0.95 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $3.60 – $3.60 | 1 |
| Gba gene CPT 81251 | not published | not published | $28.35 – $145.53 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $291.00 – $457.29 | 2 |
| Gel-one HCPCS J7326 | not published | not published | $538.48 – $902.88 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.59 – $1.69 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.98 – $8.72 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $233.12 – $330.25 | 2 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,469.14 – $7,541.56 | 3 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $3,352.69 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $886.62 – $3,352.69 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $5,320.93 – $5,320.93 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $7,199.96 | 3 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,018.72 – $15,496.10 | 3 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,625.97 – $8,346.65 | 3 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.31 – $13.10 | 2 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $1,303.17 – $1,303.17 | 1 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $5.89 – $30.21 | 7 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $61.36 – $314.96 | 7 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $139.00 – $348.90 | 2 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $36.54 – $49.89 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.89 – $14.85 | 7 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $436.00 – $459.01 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $436.00 – $592.77 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $190.27 – $436.00 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $21.05 – $108.08 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $709.01 – $2,077.11 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $85.32 – $276.02 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $85.32 – $276.02 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $107.26 – $185.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $465.40 – $465.40 | 1 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $70.41 – $70.41 | 1 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $9.13 – $46.85 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $334.95 – $1,005.98 | 6 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $31.56 – $51.74 | 6 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $809.92 – $1,256.00 | 2 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $29.98 – $29.98 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $290.62 – $290.62 | 1 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $24.22 – $24.22 | 1 |
| Ghs eye exam CPT 92002 | not published | not published | $370.98 – $370.98 | 1 |
| Ghs fat & muscle CPT 89160 | not published | not published | $2.91 – $14.94 | 7 |
| Ghs flow volume loop CPT 94375 | not published | not published | $365.00 – $809.92 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $323.97 – $323.97 | 1 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $13.78 – $70.75 | 7 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $9.29 – $47.71 | 7 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $5.68 – $29.17 | 7 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $63.68 – $326.91 | 7 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $17.95 – $92.15 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $68.14 – $200.38 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $709.01 – $2,077.11 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $121.95 – $141.00 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $141.00 – $1,440.00 | 2 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $141.00 – $1,440.00 | 2 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $141.00 – $1,440.00 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $216.80 – $408.97 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.